An article reviews the commonly used diuretics in nephrology

An article reviews the commonly used diuretics in nephrology

Diuretics are a commonly used antihypertensive drug in clinical practice, with the advantages of low cost and quick effect. Scholars have found that diuretics also have a good therapeutic effect on some patients with kidney disease. Subsequently, they have been used in diseases such as glomerulonephritis, nephrotic syndrome, and renal insufficiency. They are easy to use and have a definite effect. They have been used for many years. However, are diuretics really harmful to the kidneys? An endless stream of real cases tells us that the answer is no! Excessive diuretics will increase the burden on the kidneys, and in severe cases, it can even lead to renal failure. Therefore, it is particularly important to choose appropriate diuretics according to the patient's condition and use them rationally in the treatment of kidney disease.

What are the commonly used diuretics?

Diuretics are widely used in clinical practice and can be used to treat sodium and water retention in the body caused by various reasons. Diuretics mainly act on the kidneys to promote the excretion of sodium and water, and have become indispensable drugs for the treatment of kidney disease, cardiovascular and cerebrovascular diseases, etc. We divide them into 5 categories based on the site of action, chemical structure or mechanism of action, as follows:

How do patients with kidney disease choose diuretics?

When using diuretics, we usually have to make rational choices based on the type of disease and renal function level of the kidney patient. For patients with normal renal function or mild damage, the choice will naturally be relatively large. For patients with mild kidney disease, thiazide diuretics can be selected, and the doctor's instructions should be followed when taking the medicine. For patients with more severe renal insufficiency, loop diuretics are generally selected, and the dosage should be strictly controlled. For patients who have already developed ascites, two or more diuretics can be used in combination for better results.

In addition, appropriate diuretics should be selected according to the patient's specific symptoms. If the patient has hypertension, chlorthalidone or indapamide should be the first choice, which can reduce blood pressure and diuresis at the same time. If the patient has proteinuria, hydrochlorothiazide can be selected, and potassium-sparing diuretics can be used together if necessary. If edema occurs, a more effective loop diuretic such as furosemide can be selected, which can achieve the purpose of diuresis and swelling, and can be used in combination with other diuretics if necessary. What should kidney patients pay attention to when using diuretics?

1. When using diuretics, patients with kidney disease must use them under the guidance of a doctor and should not adjust the dosage without authorization to avoid fluctuations in their condition.

2. While taking diuretics, patients with kidney disease should pay attention to monitoring electrolytes and renal function indicators to prevent electrolyte disorders.

3. If the patient has nephrotic syndrome and obvious hypoproteinemia, do not blindly increase diuresis, as this may easily induce thrombosis and even increase the risk of acute kidney injury.

4. Avoid smoking, drinking, and strenuous exercise during medication. It is advisable to choose jogging, brisk walking, Tai Chi and other exercise methods.

5. If obvious hyperglycemia, hyperuricemia, etc. occur during medication, seek medical attention promptly and receive symptomatic treatment based on the specific condition.

<<:  There are more and more reports of drug-induced kidney damage, and this is the culprit!

>>:  Some kidney diseases are more likely to affect women! Here are 6 tips to help you avoid them!

Recommend

What causes leg pain after childbirth?

From pregnancy to delivery, when the baby is born...

Why is the leucorrhea slightly yellow?

Slightly yellow leucorrhea is actually a sign of ...

Can a pregnant woman take a long-distance bus when she is 8 months pregnant?

Everyone knows that expectant mothers usually exp...

Can pregnant women drink corn porridge?

Pregnant women cannot just eat rice or some whole...

Can unmarried women get gynecological diseases?

Many people have a misunderstanding that only mar...

How effective is pelvic inflammatory disease infusion?

Pelvic inflammatory disease is an inflammation of...

Cold lower abdomen during menstruation

In fact, many women encounter many problems durin...

The main reasons for hair loss in women

There are many reasons for women to lose hair. Wo...

Why does it happen that I pee when I jump rope?

Flying rope is a kind of exercise that is suitabl...

Will breast hyperplasia occur during lactation?

Many new mothers experience breast problems durin...

What should we do if our breasts grow slowly?

There are many girls in adolescence who are very ...

Causes and treatment of abnormal leucorrhea

Women also need to protect their own health, espe...